HGH - Human Growth Hoax?

Athletes, both professional and amateur, as well as the general public are convinced that human growth hormone (HGH), Erythropoietin (EPO) and anabolic-androgenic steroids (AAS) are all artificial and controversial paths to improved performance in sports.  The recent headlines that have included Barry Bonds, Marion Jones, Floyd Landis, Dwayne Chambers, Jose Canseco, Jason Giambi, Roger Clemens and many lesser known names (see the amazingly long list of doping cases in sport) have referred to these three substances interchangeably leaving the public confused about who took what from whom.  With so many athletes willing to gamble with their futures, they must be confident that they will see significant short-term results.  

So, is it worth the risk?  Two very interesting recent studies provide some answers on at least one of the substances, HGH.


A team at the Stanford University School of Medicine, led by Hau Liu MD, recently reviewed 27 historical studies on the effects of HGH on athletic performance, dating back to 1966 (see reference below).  They wanted to see if there were any definitive links between HGH use and improved results.  In some of the studies, test volunteers who received HGH did develop more lean body mass, but also developed more lactate during aerobic testing which inhibited rather than helped performance.  While their muscle mass increased, other markers of athletic fitness, such as VO2max remained unchanged.  “The key takeaway is that we don’t have any good scientific evidence that growth hormone improves athletic performance,” said senior author Andrew Hoffman, MD, professor of endocrinology, gerontology and metabolism.



Both Liu and Hoffman cautioned that the amounts of HGH given to these test subjects may be much lower than the the purported levels claimed to be taken by professional athletes.  They also pointed out that at a professional level, a very slight improvement might be all that is necessary to get an edge of your opponent.  Hoffman also added an insightful comment, “So much of athletic performance at the professional level is psychological.”  If an athlete takes HGH, sees some muscle mass growth and isn't 100% sure of its performance capabilities, might he assume he now has other "Superman" powers?



That is exactly the premise that a research team from Garvan Institute of Medical Research in Sydney, Australia used to find out if HGH users simply relied on a placebo effect.  Sixty-four participants, young adult recreational athletes, were divided into two groups of 32 and tested for a baseline of athletic ability in endurance, strength, power and sprinting.  One group received growth hormone and the other group received a simple placebo.  It was a "double-blind" study in that neither the participants nor the researchers knew during the testing which substance each group received.



At the end of the 8 week treatment, the athletes were asked if they thought they were in the HGH group or the placebo group.  Half of the group that had received the placebo incorrectly guessed that they were on HGH.  Not too surprisingly, the majority of the "incorrect guessers" were men.  Here's where it gets interesting.  The incorrect guessers also thought that their athletic abilities had improved over the 8 week period.  The team retested all of the placebo group and actually did find improvement across all of the tests, but only significantly in the high-jump test.


Jennifer Hansen, a nurse researcher and Dr. Ken Ho, head of the pituitary research unit at Garvan have not released the data on the group that did receive the HGH, but they will in their final report coming soon.



So, let's recap.  On the one hand, we have a research review that claims there is not yet any scientific evidence that HGH actually improves sports performance.  Yet, we have hundreds, if not thousands, of athletes illegally using HGH for performance gain.  Showing the effect of the "if its good enough for them, its good enough for me" beliefs of the public regarding professional athlete use of HGH, we now have research that shows even those who received a placebo, but believed they were taking HGH not only thought they were improving but actually did improve a little.  Once again, we see the power of our own natural, non-supplemented brain to convince (or fool) ourselves to perform at higher levels than we thought possible.








Liu, H., Bravata, D.M., Olkin, I., Friedlander, A., Liu, V., Roberts, B., Bendavid, E., Saynina, O., Salpeter, S.R., Garber, A.M. (2008). Systematic review: the effects of growth hormone on athletic performance.. Annals of Internal Medicine, 148(10), 747-758.

Sideline Raging Soccer Moms (and Dads!)

Visit any youth soccer field, baseball diamond, basketball court or football field and you will likely see them:  parents behaving badly.  Take a look at this Good Morning America report:

These are the extremes, but at most games, you can find at least one adult making comments at the referee, shouting at their child, or having a verbal exchange with another parent.  Thankfully, these parents represent only a small percentage of those attending the game.  Does that mean the others don't become upset at something during the game?  Usually not, as there are lots of opportunities to dispute a bad call or observe rough play or react to one of these loud parents.  

The difference is in our basic personality psyche, according to Jay Goldstein, a kinesiology doctoral student at the University of Maryland School of Public Health.  His thesis, recently published in the Journal of Applied Social Psychology (see reference below), hypothesized that a parent with "control-oriented" personality would react to events at a game more than a parent with an "autonomy-oriented" personality.

According to Goldstein, defending our ego is what usually gets us in trouble when we feel insulted or take something personally.  At youth sports games, we transfer this pride to our kids, so if someone threatens their success on the field, we often take it personally.  The control-oriented parent is more likely to react with a verbal or sometimes physical response, while an autonomy-oriented parent is better able to internalize and maintain their emotions.  This "control" vs. "autonomy" comparison has also been seen in research on "road rage", when drivers react violently to another driver's actions.

Goldstein and his team focused their research on suburban Washington soccer parents back in 2004.  They designed a survey for parents to fill out prior to watching a youth soccer game that would help categorize them as control or autonomy-oriented.  Immediately after the game ended, another survey was given to the parents that asked about any incidents during the game that made them angry on a scale of 1, slightly angry, to 7, furious.  They were also asked what action they took when they were angry.  Choices included "did nothing" to more aggressive acts like walking towards the field and/or yelling or confronting either the referee, their own child, or another player/parent.  53% of the 340 parents surveyed reported getting angry at something during the game, while about 40% reported doing something about their anger.

There was a direct and significant correlation between control-oriented parents, as identified in the pre-game survey, and the level of angry actions they took during the game.  Autonomy-oriented parents still got mad, but reported less aggressive reactions.  As Goldstein notes, “Regardless of their personality type, all parents were susceptible to becoming more aggressive as a result of viewing actions on the field as affronts to them or their kids.  However, that being said, it took autonomy-oriented parents longer to get there as compared to the control-oriented parents.”

So, now that we know the rather obvious conclusion that parents who yell at other motorists are also likely to yell at referees, what can we do about it?  Goldstein sees this study as a first step.  He hopes to study a wider cross-section of sports and socio-economic populations.  Many youth sports organizations require parents to sign a pre-season "reminder" code of conduct, but those are often forgotten in the heat of the battle on the field.  

Maybe by offering the same type of personality survey prior to the season, the "control-oriented" parents can be offered resources to help them manage their tempers and reactions during a game.  Since referees were the number one source of frustration reported by parents, two solutions are being explored by many organizations; more thorough referee training and quality control while also better training of parents on the rules of the game which often cause the confusion.

Sports contests will always be emotional, from kids' games all the way up to professionals.  Keeping the games in perspective and our reactions positive are tough things to do but when it comes to our kids, it is required.



Goldstein, J.D., Iso-Ahola, S.E. (2008). Determinants of Parents' Sideline-Rage Emotions and Behaviors at Youth Soccer Games. Journal of Applied Social Psychology, 38(6), 1442-1462. DOI: 10.1111/j.1559-1816.2008.00355.x

The Sports Cognition Framework

So, why should athletes and coaches be interested in all of this cognitive science stuff? They have been playing and coaching these sports for years, practicing with the same drills and routines and having success. Some may say, "if it ain't broke..." At the same time, all players and coaches are looking for the "the Edge"; the practice technique, game strategy, player development skill that will help the bottom line; winning. The physical training attributes still need to be developed in terms of raw speed, acceleration, agility, strength and balance. Hours are spent in the training rooms and gyms improving these variables. The game preparation process is still there; watching film, breaking down strengths and weaknesses of the opponent, tactical planning, etc. Some may say that is the "mental preparation" needed for competition. That's true, it is a plan for success, but the key is in execution of the plan. At the exact moment in the game when execution is needed, will each player know the right thing to do and be able to do it? That is the essence of what I call the "Sports Cognition Framework". It is the combination of the three themes: decision-making competence (knowing what to do), motor skill competence (being physically able to do it), and positive mental state (being motivated and confident to do it). There seem to be many, deep areas of research into each of these topics. My job is to dig into each of these areas and look for relevant research that you will find practical to include in your training or your coaching.

Where Does Sport Psychology Fit?

As I outline my framework for researching the neuro-motor skills necessary for sports, I have debated where the discipline of "sport psychology" fits. Obviously, the topics of motivation, fear, anxiety, concentration, imagery and leadership are critical to the success of any athlete, and are often included under the heading of sport psychology. I can see more application of these ideas in the realm of decision theory than the core skills. An athlete does not perform in a vacuum. His decisions on the field are affected by his emotions, his confidence level, his fear of failure. For example, what effect does the game situation have on a pitcher's skill level? If the score is 0-0, with no one on base and 2 outs in the first inning, not only will his pitch selections and execution be determined by his rational, tactical decisions, but also by his confidence level at that point. Did his last outing go well? Has he had a good month of starts, or is he nervous about getting through this game? Athletes are humans, not robots. Their confidence, motivation and emotions cannot be detached from their skills. The degree to which they can keep their feelings under control are a measure of their maturity as a player but all athletes are somewhere along the continuum. Based on this assumption, we will definitely dig into this "emotional intelligence", to borrow the phrase from Daniel Goleman, but will separate the topics initially and address their intersection later.